Home and Mobile Health Monitoring (HMHM) is the use of digital remote monitoring technology to enable patients outside of hospitals to receive, record and relay clinically relevant information about their current health and wellbeing. It is used to guide self management decisions by the user / patient and to support the health and care team in their treatment and care planning.
Advantages of using HMHM for Citizens
- Less time spent attending and travelling to appointments
- Better access to services
- Increased confidence and capacity to self manage own condition
- People are more active in managing their own care
For Health and Care Services
- Better availability of data to assist diagnosis and early intervention
- Greater adherence to treatment by patients/citizens
- Provision of care – right time, right place complementing existing services
- Productivity gains resulting from less travel and timely face to face contacts
- Better value for NHS resources
Home and Mobile Health Monitoring
mPower is five-year project supported by the European Union’s INTERREG VA Programme, managed by the Special EU Programmes Body (SEUPB). It will create a cross-border service for older people (age 65+) living with long-term conditions across Republic of Ireland, Northern Ireland and Scotland.
As part of the mPower project a series of knowledge exchange webinars have been organised. The webinars allow us to learn more about the tools and techniques which mPower is promoting.
Morag Hearty, National Strategic Lead, Home and Mobile Health Monitoring and Kerry Fletcher, Project Support Manager, NHS Lanarkshire recently recorded a webinar to provide an – Overview from the TEC Home and mobile health monitoring programme in Scotland and local progress and engagement in Lanarkshire.
Examples of Home and Mobile Health Monitoring
Home Monitoring Your Blood Pressure
NHS Scotland is scaling up the use of text messaging to manage blood pressure in line with the Scottish Government priority for 2020/23.
People are already using this system successfully to send in blood pressure readings to their General Practice, saving them appointments and time away from work or caring responsibilities, while helping them keep their blood pressure at safe levels.
Where appropriate, patients are given a blood pressure monitor and instructions but see the video below for further explanation.
HMHM has gradually expanded in Scotland and, when implemented appropriately, it can help manage the growing demands for health and care services, supporting integrated care. Significant outputs from this TEC programme which provide details on the work programme include the following downloadable publications and reports.
This report draws on evidence and valuable experience from across the TEC funded partners in Scotland and at a national level it reaffirms the important foundations that the work has delivered to date. The report sets out key recommendations as to how we can continue to shape and inform our future national HMHM activities to support our scaling up efforts to achieve wider population health benefits and support at scale service transformation.
Sensor Augmented Insulin Pump Therapy (SAIPT) & Ipro2 Continuous Glucose Monitoring: Programme Evaluation
Service Evaluation of Three Telehealth Services for Monitoring Patients with Asthma, COPD, and Heart Failure, Dr Maria Wolters, University of Edinburgh
In 2017 the culmination of research and lessons learned were published in the National Service Model for Home and Mobile Health Monitoring.
The Model will support the redesign of services using technology to provide better outcomes for citizens, while achieving productivity and efficiency gains.
- An introduction to Home and Mobile Health Monitoring
- The Case for Adoption in Scotland
- National Service Model Framework
- Enabling the Delivery of Home and Mobile Health Monitoring at Scale
- Developing and Refining The National Service Model
Towards Scaling up Home and Mobile Health Monitoring in Lanarkshire
An evaluation of the outcomes achieved and progress towards scale-up, spread and sustainability June, 2019.
Blood Pressure Monitoring in Primary Care
The British Heart Foundation (BHF) Scotland, NHS 24 and the Scottish Government TEC Programme are working together to integrate remote monitoring of blood pressure using a digital health solution.
Nearly 30% of adults in Scotland have high blood pressure.
The digital health solution allows readings of blood pressure taken by a citizen at home, for an agreed period, to be simply texted to the digital health system. Relevant clinicians are then able to view the readings and give feedback if appropriate.
Scaling up Blood Pressure Monitoring 2018-2021
Like all of our Technology Enabled Care developments in Scotland we are building on our experience and lessons learned. In a collaboration between Primary Care, Scottish Government, Healthcare Improvement Scotland and TEC, the objectives for this work are:
- Expand & accelerate the use and adoption of HMHM for BP across Primary Care
- Extend reach to a further 20,000 citizens by 2021
- Increase uptake to above 50% of Primary Care Practices across Scotland
- Support Large Scale redesign of hypertension management – whole pathway focusing on supporting Diagnosis, medication management and long term monitoring
What does home and mobile monitoring mean for users?
In this video one of the users describes what his experience of this solution has meant.